Common use of Emergency Medical Treatment Clause in Contracts

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) ACTIVITY DETAIL FORM Name of Activity: Date(s) of Activity: Location of Activity: Description of Activity: Various activities including, but not limited to; By participating in these activities you may be exposed to several inherent risks, including by not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) ACTIVITY DETAIL FORM Name of Activity: Date(s) of Activity: Location of Activity: Description of Activity: Various activities including, but not limited to; By participating in these activities you may be exposed to several inherent risks, including by not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides pages of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that FURTHER ACKNOWLEDGE THAT I sign this Release Agreement voluntarily and SIGN THIS RELEASE VOLUNTARILY AND THAT I am at least eighteen years of ageAM AT LEAST EIGHTEEN (18) YEARS OF AGE. Name of Participant (printedIF YOU ARE NOT 18 YEARS OF AGE, YOU MUST HAVE A PARENT OR GUARDIAN SIGN THE MINOR RELEASE AVAILABLE AT xxxx://xxx.xxx.xxx/studentaffairs/criw/intramurals.php ON YOUR BEHALF. ABSENT A SIGNED RELEASE YOU WILL NOT BE PERMITTED TO PARTICIPATE IN THE ACTIVITY.) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/987/13) ACTIVITY DETAIL FORM Name Page 1 of Activity: Date(s) 2 The participant will be engaging in practice of Activity: Location skills and activities to enhance their performance through practice of Activity: Description skills and physical activity. Competition between the college club and other off campus teams may also be part of Activity: Various activities including, but not limited the activity. Participant will also be traveling to; /from the activity with others in private cars and vans. By participating in these activities you may be exposed to several inherent risks, including by not limited to those listed below: I understand that participating in this activity can be dangerous involving many These risks of injury, including include but are not limited to serious injury to bones, broken legs, broken arms, sprained or strained wrists, hyper extended fingers, sprained fingers, torn ligaments to fingers, dislocation of fingers, sprains and strains to joints, torn ligaments, internal organs as well as the risk dislocation of knees, strained or torn muscles, strained or torn tendons, loss of teeth, and head injuries including concussion, and other injuries, including drowning, which could ultimately lead to death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activityparalysis. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.. (Rev. 7/13) Page 2 of 2 Parent/Guardian Signature: Date:

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides pages of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that FURTHER ACKNOWLEDGE THAT I sign this Release Agreement voluntarily and SIGN THIS RELEASE VOLUNTARILY AND THAT I am at least eighteen years of ageAM AT LEAST EIGHTEEN (18) YEARS OF AGE. Name of Participant (printedIF YOU ARE NOT 18 YEARS OF AGE, YOU MUST HAVE A PARENT OR GUARDIAN SIGN THE MINOR RELEASE AVAILABLE AT xxxx://xxx.xxx.xxx/studentaffairs/criw/intramurals.php ON YOUR BEHALF. ABSENT A SIGNED RELEASE YOU WILL NOT BE PERMITTED TO PARTICPATE IN THE ACTIVITY.) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/987/13) ACTIVITY DETAIL FORM Name Page 1 of Activity: Date(s) 2 The participant will be engaging in practice of Activity: Location skills and activities to enhance their performance through practice of Activity: Description skills and physical activity. Competition between the college club and other off campus teams may also be part of Activity: Various activities including, but not limited the activity. Participant will also be traveling to; /from the activity with others in private cars and vans. By participating in these activities you may be exposed to several inherent risks, including by not limited to those listed below: I understand that participating in this activity can be dangerous involving many These risks of injury, including include but are not limited to serious injury to bones, broken legs, broken arms, sprained or strained wrists, hyper extended fingers, sprained fingers, torn ligaments to fingers, dislocation of fingers, sprains and strains to joints, torn ligaments, internal organs as well as the risk dislocation of knees, strained or torn muscles, strained or torn tendons, loss of teeth, and head injuries including concussion, and other injuries, including drowning, which could ultimately lead to death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activityparalysis. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment for the Participant, as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that which might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind me, the Participant, the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides pages of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I am the parent or legal guardian of the Participant and that I sign this Release Agreement voluntarily and I am at least eighteen years voluntarily. Name of age. Parent or Guardian (printed) Signature Date Name of Participant (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98rev.5/2003) ACTIVITY DETAIL FORM Name of Activity: Swimming Lessons Date(s) of Activity: Location of Activity: RIT Campus Other: Description of Activity: Various activities including, but not limited to; Swimming Instruction in the Xxxxxx Field House Aquatics Center. By participating in these activities you may be exposed to several inherent risks, including by but not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of Head and neck injury, including but not limited to serious injury to eye damage, bruises, broken bones, torn ligaments, dislocated joints, ligamentsconcussion, internal organs as well as the risk loss of limb and even possibly death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity(drowning). In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind. Please read and sign the Release Agreement on page 1 of this form.

Emergency Medical Treatment. I grant the Releasees University permission to authorize emergency medical treatment as they deem it deems appropriate, and agree that such action by the Releasees University shall be subject to the terms of this Agreementagreement. I understand and agree that the Releasees assume University assumes no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or assigns, and personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State state of New YorkCalifornia, without regard to its conflict of laws provision. The courts in Monroe County Riverside County, California, shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions of shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printedprint) Signature Date Age Signature of Guardian if 17 years of age or younger THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BOTH PAGES BEFORE SIGNING. (Rev. 4/98) ACTIVITY DETAIL FORM Name of Activity/Class: Construction, Remodeling and Renovation Date(s) of Activity/Class: Location of Activity/Class □ LSU Campus □ Other: Description of Activity/Class: Various activities including❖ Painting, but not limited to; climbing on steep roofs, ladders, scaffolds, balconies, overhead storage and work heights more than six feet high are common at construction sites. ❖ Roofing, drywall work and other tasks include heavy lifting ❖ Bricks and wood are cut with fast moving blades that cause airborne particles. ❖ Use of personal hand and/or electric tools ❖ There is a high probability for cave-ins when working below grade level. ❖ Servicing equipment while it is in operation, walking under a suspended load By participating in these the above activities you may be exposed to several inherent risks, including by but not limited to those listed below: I understand ❖ Falls--Steep roofs, ladders, scaffolds, balconies, overhead storage and work heights more than six feet high are common at construction sites. Roofing poses the highest possibility for falls, and therefore, guardrails and safety lines need to be utilized. (An additional exposure to consider in roofing is the possible presence of asbestos materials.) ❖ Back Strains--Roofing, drywall work and other tasks include heavy lifting and require workers to work in awkward positions, which can contribute to strains. ❖ Respiratory Problems--Bricks and wood are cut with fast moving blades that participating cause airborne particles. Fumes, vapors, grinding operations, spray paint, hazardous materials, hot liquids, metals and chemicals may also abound on the construction site. These exposures to loss contribute to the possibility of both bodily injuries and long-term respiratory disease. Personal protective equipment, such as goggles, face xxxxxxx, respirators, shoes and gloves must always be used. ❖ Cave-ins--There is a high probability for cave-ins when working below grade level, which may cause serious injuries or fatalities ❖ Human Element--While job-site factors are important, the vast majority of construction accidents occur due to workers’ unsafe acts and omissions. Some examples include servicing equipment while it is in this activity can be dangerous involving many risks operation, horseplay, unauthorized use of injurythe equipment, including but not limited to serious injury to boneswalking under a suspended load, joints, ligaments, internal organs as well as the risk passengers riding on fenders and storage of death or serious disability. Any of these injuries may lead to a permanent impairment to engage dynamite and caps in the businesssame location. Construction workers should arrive at work feeling physically fit and rested. Fatigue and stress in meeting deadlines can lead workers to make unpredictable mistakes. ❖ Hazard Elimination--Look for clutter in aisles, social on stairs in traffic lanes and recreational activities I generally enjoy in lifefire exits. Because Check for loose materials, lumber shavings, scraps, oil, grease and liquid spills. ❖ Acts of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.God

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printed) Signature Date (mm/dd/yy) THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) Faculty should fill this section in before giving to students, for consistency and accuracy ACTIVITY DETAIL FORM Name of Activity: Date(s) of Activity: Location of Activity: Description of Activity: Various activities including, but not limited to; By participating in these activities you may be exposed to several inherent risks, including by not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment of Participant as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might arise out of or in connection with result from such authorized emergency medical treatment. In the event of an emergency, the emergency contact that is listed on my registration form will be contacted via phone by a staff member as soon as possible. It is my express intent that this Agreement shall bind Participant, me and the members of my our family and spouse (if any), my our estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provisionprinciples. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident relating to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. ACTIVITY DETAIL FORM Name of Activity: University of Rochester Soccer 8v8 Tournament Date(s) of Activity: 4/24/2016 Location of Activity: University of Rochester, River Campus – Xxxxxx Stadium Description of Activity: Soccer Various activities including, but not limited to: soccer instruction, competitive games, match-play. By participating in these activities you may be exposed to several inherent risks, including but not limited to those listed here: Injury, including sprains, fractures, heat related injury/illness, concussions and other injuries related to participation in soccer which is considered a contact sport. In signing this Agreement, I acknowledge that I have read both sides Part I of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Parent or Legal Guardian (printed) Signature Name of Participant (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) ACTIVITY DETAIL FORM Name PART II University of Activity: Date(s) of Activity: Location of Activity: Description of Activity: Various activities including, but not limited to; By participating in these activities you may be exposed to several inherent risks, including by not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social Rochester Men’s Soccer 8v8 Tournament Rules and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.Regulations

Emergency Medical Treatment. In the event of an emergency, I grant the Releasees hereby give permission to authorize transport my child to a hospital for emergency medical treatment as they deem appropriateor surgical treatment. In the event of an emergency, and agree that such action by if you are unable to reach me at the Releasees shall be subject above numbers, contact: Name & relationship: Phone: Specific Medical Information: The parish/school will take reasonable care to the terms of this Agreement. I understand and agree see that the Releasees assume no responsibility following information will be held in confidence. Medications: My child is taking medication at present. My child will bring all such medications necessary and such medications will be well-labeled. Names of medications and concise directions for any injury or damage seeing that might arise out the child takes such medications, including dosage and frequency of or in connection with such authorized emergency dosage, are as follows: Allergic reactions (medications, foods, plants, insects, etc.): You should be aware of these special medical treatment. It is my express intent that this Agreement shall bind the members conditions of my family and spouse (if any)child: Family doctor: Phone: As Parent or Guardian, my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws to all of the State above stated considerations and conditions. Signature: Date: COMPLETE BOTH SIDES OF FORM (OVER ⇒) Code of New York, without regard Conduct The following are a few rules that all students are expected to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected therebyfollow while participating and representing HIGHLAND CATHOLIC SCHOOL. In signing this Agreementevent sponsored by: HIGHLAND CATHOLIC SCHOOL On: (date of event) Please Read and Sign: I, I acknowledge that I have read both sides , will: ▪ Treat all other persons with respect and not cause any intentional harm (physically, emotionally or spiritually) to any person in any way. ▪ Respect the property of others, including all program facilities and property. ▪ Follow all appropriate instructions of all personnel aiding in this Release Agreement formevent, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) ACTIVITY DETAIL FORM Name of Activity: Date(s) of Activity: Location of Activity: Description of Activity: Various activities including, but not limited to; By participating , chaperones, support staff, transportation personnel and administration. ▪ Be on time for all check-ins and departure time. ▪ Not have in my possession any tobacco, alcohol or any controlled illegal substance. I agree that if any of these activities you may be exposed to several inherent risksterms are violated, including by not limited to those listed belowthe Parish/School can send the participant home at the participant/parent/guardian’s expense. Youth Participant Signature Date Parent/guardian Signature Date Please return to: I understand that participating in EXTRA INNINGS STAFF No later than: MONDAY JUNE 13TH, 2022 The Parish/School sponsoring this activity can be dangerous involving many risks is responsible for receiving an authorized form for each participant under the age of injury18, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death if deemed necessary for overnight events or serious disabilityother activities requiring responsible behavior. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.COMPLETE BOTH SIDES OF FORM

Emergency Medical Treatment. I grant the Releasees University permission to authorize emergency medical treatment as they deem it deems appropriate, and agree that such action by the Releasees University shall be subject to the terms of this Agreementagreement. I understand and agree that the Releasees assume University assumes no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or assigns, and personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State state of New YorkCalifornia, without regard to its conflict of laws provision. The courts in Monroe County Riverside County, California, shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions of shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BOTH PAGES BEFORE SIGNING. (Rev. 4/98) ACTIVITY DETAIL FORM Name of Activity/Class: Date(s) of Activity/Class: Location of Activity/Class  LSU Campus  Other: Description of Activity/Class: Various activities including, but not limited to; By participating in these the above activities you may be exposed expected to several inherent risks, including by but not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we We request that you conduct your participation with the safety of yourself and others in mind.. PLEASE READ AND SIGN THE RELEASE AGREEMENT ON THE REVERSE SIDE OF THIS FORM. Date: Activity Location: LSU Other I HAVE READ THIS WAIVER, RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT IN ITS ENTIRETY. I,

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment for the Participant, as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that which might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind me, the Participant, the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides pages of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I am the parent or legal guardian of the Participant and that I sign this Release Agreement voluntarily and I am at least eighteen years voluntarily. Name of age. Parent or Guardian (printed) Signature Date Name of Participant (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98rev.5/2003) ACTIVITY DETAIL FORM Name of Activity: Computer Science House Insights Overnight Program Date(s) of Activity: Location of Activity: RIT Campus Other: Description of Activity: Various activities including• Learning Workshops • Team games • Meal on campus • Group projects • Computer Science House meeting • (Possible) Off-campus trip to popular Computer Science House restaurant, but not limited to; Mark’s Hots. By participating in these activities you may be exposed to several inherent risks, including by but not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind. Please read and sign the Release Agreement on the reverse side of this form.

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printed) Signature Date (mm/dd/yy) THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) Faculty should fill this section in before giving to students, for consistency and accuracy ACTIVITY DETAIL FORM Name of Activity: Eureka! 2019 at the Veterans Outreach Center Date(s) of Activity: November 1 2019 Location of Activity: Veterans Outreach Center, 000 Xxxxx Xxxxxx, Xxxxxxxxx 00000 Description of Activity: meeting stakeholders, walking in and outside of building, working on teams walking, talking with participants, working on laptops preparing Various activities including, but not limited to; digital presentations By participating in these activities you may be exposed to several inherent risks, including by not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.

Emergency Medical Treatment. I grant the Releasees University permission to authorize emergency medical treatment as they deem it deems appropriate, and agree that such action by the Releasees University shall be subject to the terms of this Agreementagreement. I understand and agree that the Releasees assume University assumes no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. Possession or use of firearms, or toy facsimiles, paint-ball guns, BB guns, knives, martial arts weapons, darts, any type of ammunition, and other dangerous weapons are prohibited on University property except when carried by law enforcement personnel or when being used in conjunction with a firearms training/safety class (this includes bow and arrows for hunting purposes). The sale, use, or possession of fireworks or explosives is also prohibited. It is unlawful to interfere with the normal activities, normal occupancy, or normal use of any building or portion of the University campus by exhibiting or using or threatening to exhibit or use a firearm. A person who violates this section is guilty of a felony and upon conviction could face such penalties as a fine or imprisonment. City, state, or federal prosecution may result. Note about laser pointers: Students or persons misusing laser pointers on campus or on University property will be subject to disciplinary action. Misuse is defined as any use other than for instructional or presentation purposes. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or assigns, and personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State state of New YorkCalifornia, without regard to its conflict of laws provision. The courts in Monroe County Riverside County, California, shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions of shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printedprint) Signature _ Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) ACTIVITY DETAIL FORM Name Age Signature of Activity: Date(s) Guardian if 18 years of Activity: Location of Activity: Description of Activity: Various activities including, but not limited to; By participating in these activities you may be exposed to several inherent risks, including by not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death age or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.younger

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides pages of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Release Agreement voluntarily and I am at least eighteen years of age. Name of Participant (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98) ACTIVITY DETAIL FORM Name of Activity: Rock Climbing Club Date(s) of Activity: 08/21/16 12:00am - 08/21/17 12:00am Location of Activity: All Locations Description of Activity: Various activities including, but not limited to; This waiver is for club members participating in practices and competitions. By participating in these activities you may be exposed to several inherent risks, including by but not limited to those listed below: International Travel: the movement of people between relatively distant geographical locations, and can involve travel by foot, bicycle, automobile, train, boat, airplane or other means, with or without luggage, and can be one way or round trip. Rock Climbing - an activity in which participants climb up, down or across natural rock formations or artificial rock walls. The goal is to reach the summit of a formation or the endpoint of a pre-defined route without falling. I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.. Please read and sign the Release Agreement on this form. Name of Participant (printed) Signature

Emergency Medical Treatment. I grant the Releasees permission to authorize emergency medical treatment for me, as they deem appropriate, and agree that such action by the Releasees shall be subject to the terms of this Agreement. I understand and agree that the Releasees assume no responsibility for any injury or damage that which might arise out of or in connection with such authorized emergency medical treatment. It is my express intent that this Agreement shall bind me, the Participant, the members of my family and spouse (if any), my estate, heirs, administrators, assigns or personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws provision. The courts in Monroe County shall be the forum for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions shall not be affected thereby. In signing this Agreement, I acknowledge that I have read both sides pages of this Release Agreement form, understand it, and agree to be bound by its terms. I further acknowledge that I am the parent or legal guardian of the Participant and that I sign this Release Agreement voluntarily and I am at least eighteen years of agevoluntarily. Name of Participant (printed) Signature Date Name of Parent or Guardian if under 18 (printed) Signature Date THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING. (Rev. 4/98rev.7/2016) ACTIVITY DETAIL FORM Name of Activity: Fellowship Christian Athletes Lacrosse Camp Date(s) of Activity: May 31 – June 2 2019 Location of Activity: RIT Campus Other: Description of Activity: Various activities includingLacrosse instruction, but not limited to; practice and games By participating in these activities you may be exposed to several inherent risks, including by but not limited to those listed below: I understand that participating in this activity can be dangerous involving many risks of injury, including but not limited to serious injury to bones, joints, ligaments, internal organs as well as the risk of death or serious disability. Any of these injuries may lead to a permanent impairment to engage in the business, social and recreational activities I generally enjoy in life. Because of the dangers of participating in this activity, I warrant that I am knowledgeable in the use of protective equipment and rules of the activity, and agree to abide by such use of protective equipment and rules. I am fully aware of the risks and hazards associated with the activity, and hereby elect to voluntarily participate in this activity. In our effort to conduct a safe event, we request that you conduct your participation with the safety of yourself and others in mind.